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Health Services — NPDES discharge permits in Missouri

Of the 17 permits in EPA's SIC 80 in MO, 7 went over a limit between 2025-10-01 and 2026-09-30 (E. coli: 4; BOD, 5-day, 20 deg. C: 3; Nitrogen, ammonia total [as N]: 3); 1 has no reports in EPA's file for that window. 5 are past the expiry date EPA's file holds; 8 have a renewal application overdue or due within 18 months. EPA's file of 2026-10-15.

FacilityLast 12 monthsPermit
FAMILY COUNSELING CENTER, INC.
MO0127477 · Skilled Nursing Care Facilities
Over a limit 22×: Solids, total suspended (8×), BOD, 5-day, 20 deg. C (7×), Nitrogen, ammonia total [as N] (4×)Expires Mar 31, 2029
Barnes Table Rock Investments LLC
MO0100161 · Skilled Nursing Care Facilities
Over a limit 5×: Solids, total suspended (2×), BOD, 5-day, 20 deg. C (1×), Phosphorus, total [as P] (1×)Renewal application due May 4, 2027
Diana's Boarding Home 2, Inc.
MO0129593 · Skilled Nursing Care Facilities
Over a limit 5×: Nitrogen, ammonia total [as N] (3×), E. coli (2×)Expires Dec 31, 2028
Country Aire Healthcare LLC
MO0112615 · Skilled Nursing Care Facilities
Over a limit 3×: E. coli (2×), pH (1×)Permit past the expiry date EPA's file holds
Crosstree Healthcare The Ranch, LLC
MO0099953 · Skilled Nursing Care Facilities
Over a limit 3×: pH (1×), Solids, total suspended (1×), Nitrogen, ammonia total [as N] (1×)Expires May 31, 2030
FARMINGTON ASSISTED LIVING CENTER REAL
MO0056553 · Intermediate Care Facilities
Over a limit 2×: E. coli (2×)Renewal application due Mar 4, 2027
Miller Co Care and Rehabilitation Center
MO0086631 · Skilled Nursing Care Facilities
Over a limit 2×: E. coli (1×), BOD, 5-day, 20 deg. C (1×)Renewal application due Apr 3, 2028
Anna Dodson Home LLC
MO0120171 · Nursing And Personal Care
No value over a limit; 16 required values not reportedRenewal application due Jan 1, 2027
CAMDEN COUNTY, L.L.C.
MO0116122 · Nursing And Personal Care
No value over a limitRenewal application due Apr 3, 2028
Desoto Investment Group LLC
MO0090531 · Skilled Nursing Care Facilities
No value over a limitRenewal application due May 4, 2027
Franciscan Missionary Brothers
MO0081426 · Skilled Nursing Care Facilities
No value over a limitRenewal application due Apr 3, 2028
Lewis County Nursing Home District
MO0101214 · Skilled Nursing Care Facilities
No value over a limitPermit past the expiry date EPA's file holds
Nodaway Healthcare LLC
MO0105694 · Skilled Nursing Care Facilities
No value over a limitPermit past the expiry date EPA's file holds
Ronald Worthley
MO0118303 · Skilled Nursing Care Facilities
No value over a limit; 14 required values not reportedRenewal application due Nov 1, 2026
SEMO Residential & Recovery, LLC
MO0101176 · Nursing And Personal Care
No value over a limit; 12 required values not reportedExpires May 31, 2030
Sedalia Health Group, L.L.C.
MO0118621 · Skilled Nursing Care Facilities
No value over a limit; 12 required values not reportedPermit past the expiry date EPA's file holds
WHISPERING OAKS HEALTH CA
MO0121339 · Skilled Nursing Care Facilities
No reports in EPA's file for the windowPermit past the expiry date EPA's file holds

The record is EPA's ICIS-NPDES file of 2026-10-15: values filed against each limit between Oct 1, 2025 and Sep 30, 2026. No reports on file may be EPA's gap, not the facility's.

For programs and AI agents: this screen as JSON at /api/v1/permits?state=MO&sic=80, narrowed with &over_limit=true, &parameter=phosphorus or &renewal=due; or add https://passage-data.com/mcp as a remote MCP server (tool list_permits). Free, no key. llms.txt

From EPA's ECHO data, not the permit document itself: your permit is the final word. All states